Date   

Re: Numbers just in should I increase Pergolide for Pabatsa?

Eleanor Kellon, VMD
 

As  long as he normally handles it well no need to postpone routine dental. You can do an intranasal EHV.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Numbers just in should I increase Pergolide for Pabatsa?

Laura and Pabatsa in CA
 

Dr. Kellon,

Pabatsa is scheduled for his annual dental exam/float on 8/22. Would it be wise for me to postpone until the numbers drop down? Also, I had titers run for WNV, etc. in May (in my CH).
He would need to receive an EHV since titer was low. Should I postpone that also?
--
Laura and Pabatsa in California
Feb 2012
Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa )
Pabatsa's Photos https://ecir.groups.io /g/CaseHistory/album?id=1740 ( https://ecir.groups.io/g/CaseHistory/album?id=1740 )


Re: New Case History - Test Results HELP!!

Eleanor Kellon, VMD
 

Yes. Your vet must order it. Minimum dose is 30 mg/kg, twice daily.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Is there an App for that?

Eleanor Kellon, VMD
 

I understand, and many will do that, but it doesn't solve the problem of knowing if the information you are getting is correct.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: New Case History - Test Results HELP!!

Deb Walker
 

Thank you Dr. Kellon. So if I understand correctly, my vet must order the Metformin. Is there a standard dosage?
--
Deb and Scotty I/R Probably PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


Re: Numbers just in should I increase Pergolide for Pabatsa?

Eleanor Kellon, VMD
 

The group's experience has been that to minimize laminitis risk the horse's ACTH should be well within normal range going into the seasonal rise and any rise  minimized. He's already above normal in an early August sample with peak not coming until end September. This is especially important for horses with a history of fall laminitis, which he doesn't have but there's no way to say for sure it couldn't happen. There is no rule for how much to increase but usual increment is 1 mg.  Discuss with your vet.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Numbers just in should I increase Pergolide for Pabatsa?

Laura and Pabatsa in CA
 

I just re-uploaded the CH file.
--
Laura and Pabatsa in California
Feb 2012
Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa )
Pabatsa's Photos https://ecir.groups.io /g/CaseHistory/album?id=1740 ( https://ecir.groups.io/g/CaseHistory/album?id=1740 )


Re: Numbers just in should I increase Pergolide for Pabatsa?

Laura and Pabatsa in CA
 

--
Laura and Pabatsa in California
Feb 2012
Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa )
Pabatsa's Photos https://ecir.groups.io /g/CaseHistory/album?id=1740 ( https://ecir.groups.io/g/CaseHistory/album?id=1740 )


Re: Is there an App for that?

Debra
 

I'm a visual learner so I envision some sort of graph that would change size and color when you changed foodstuffs or quantities. I do well with charts and graphs, things that are colorful...just how my brain works best :-)
--
Debra Doerfler
San Marcos (San Diego County), California
Lady Sierra Snarf n' Snort AKA "Sierra"
2009 TB rescue mare, adopted 2017
Member since March 2019
https://ecir.groups.io/g/CaseHistory/files/Debra%20and%20Sierra

https://ecir.groups.io/g/CaseHistory/album?id=91011


Re: acetyl-L-carnitine

Eleanor Kellon, VMD
 

There's not enough lysine in Insulinwise to  make a difference.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Increasing CP

Eleanor Kellon, VMD
 

There's no easy answer to the pergolide question. If you wait to see clear signs it's too late. Talk to your vet about how much of an " insurance" increase during the rise may be warranted. You can plan to lower dose again late winter and retest.

I'm assuming this is weight loss he didn't need. It's important to keep him separated from the other horses long enough to eat his full daily requirement. Another option depending on how large the dry lot is would be to divide the daily hay into nets, one more net than there are horses, and hang these as far apart as possible. Riding him when he's undernourished is a stress and only makes weight gain harder.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: acetyl-L-carnitine

Stephanie Boyles
 

Thank you for this information!

One more quick question... I read a report by Dr. Kellon that states L Carintine is derived from Lysine.
https://drkhorsesense.wordpress.com/2019/03/23/acetyl-l-carnitine-the-powerful-versatile-nutrient-you-never-heard-of/
My horse receives Lysine via Insulin Wise. 
http://www.kppvet.com/insulinwise/
Does that mean he is also getting the l carintine from this?

Steph
--
Stephanie

 

Joined March, 2017

Ontario, Canada

 


Increasing CP

Karin Sherbin
 

Hi gurus,

My apologies, I cannot figure out how to provide my case history link on a different computer. Hoping not necessary for this question.

My horse Inky just got his ACTH results: 25.7 pg/mL. He is now on 6.5 mg of compounded pergolide. He tested last year this time at 24.1.  In 2017 he tested at 17.7' Over the rise this past winter his sheath swelled, and he had one abscess.  Is it reasonable to increase his pergolide this year, or wait and see if anything happens like the sheath swells or he gets another abscess? Those incidents may have been coincidental? 

Other info: he has moved and is now in a place that keeps him in a dry lot during the day and allows him out on a scrubby pasture overnight. His test results came back as compensated IR. He has become a finicky eater so we just started syringing the copper/zinc and trying to get him to eat the other vitamins/supplements in his food, which is soy hull pellets or beet pulp, with Sentinel low starch pellets mixed in enough to make him eat (not an approved feed but best can find around here). 

He has lost a lost of muscle/weight (100 pounds) as he figures out his place in the herd. He had been alone in a dry lot for 3 years and now the other horses keep him away from the hay in the dry lot a good amount. We are just trying to separate him from the herd at hay time to see if he can regain weight/muscle.

The good news: the barn manager is riding Inky one or two times a week, and so far no crow-hopping or bucking. Not doing a lot of work because he hasn't been worked in 3 years, but he does W/T/C. 

If you need the case history link to answer this question, I will have access to my work computer on Monday and can re-send the query with the link. 

Karin & Inky
Virginia
2015


Re: PPID and dental / sinus issues

Eleanor Kellon, VMD
 

Hi Susan,

There's really no way the hypersalivation is related to hormone levels. It's a separate medical condition and any improvement or worsening in parallel with hormone tests is coincidence.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Dancer updated case history

Patricia Evans
 

Hi Sherry,
You think I need to lower her hay and cube levels even though she is a BCS of 4-per the vet? Her weight has been dropping until I increase her hay and cubes, then it stabilizes. I don't know if she will maintain her weight if I drop her intake much, plus she had started chewing the wood in her stall when she is in for the night. Thoughts?
--
Patricia 
North central Florida
July 7 2018

https://ecir.groups.io/g/CaseHistory/files/Patricia%20and%20Dancer%20and%20Nathan
Dancer:  https://ecir.groups.io/g/CaseHistory/album?id=66069

Nathan:  https://ecir.groups.io/g/CaseHistory/album?id=94152


Re: New Case History - Test Results HELP!!

Eleanor Kellon, VMD
 

Metformin and Thyro-L are not the same thing. Metformin is a medication for IR.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Tetanus shots

Eleanor Kellon, VMD
 

If I had access to a test kit, I would go by  titers.  For an IR/EMS horse other consideration is vaccine reactions. A horse that is  in their teens or older and has been vaccinated yearly more than likely has a very high titers. Many horses were vaccinated more often than that because encephalitis vaccines used to all contain tetanus. In the past, when USDA ran titers, we had members test their horses and find high titers. When titers aren't available, it's the better part of valor to vaccinate but if the horse is having reactions the risk vs benefit ratio may shift toward not vaccinating.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Numbers just in should I increase Pergolide for Pabatsa?

Eleanor Kellon, VMD
 

Where are the numbers and current case history?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: acetyl-L-carnitine

Eleanor Kellon, VMD
 

Hi Stephanie,

There's no leptin deficiency with EMS. Leptin is actually often elevated, with leptin resistance.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Numbers just in should I increase Pergolide for Pabatsa?

Laura and Pabatsa in CA
 

Hi Dr. Kellon/Group,

My vet just sent P's labs from Cornell. As usual, his August numbers went up. Should I increase Pergolide and if so by how much?
--
Laura and Pabatsa in California
Feb 2012
Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa )
Pabatsa's Photos https://ecir.groups.io /g/CaseHistory/album?id=1740 ( https://ecir.groups.io/g/CaseHistory/album?id=1740 )

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